Talent.com
Claims Analyst

Claims Analyst

VirtualVocationsSioux Falls, South Dakota, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Claims Analyst to ensure timely processing of medical claims and verify submitted information.

Key Responsibilities

Process first-time claims and determine reimbursement eligibility

Research and determine the status of medical-related claims

Maintain records and documentation while meeting department production and quality standards

Required Qualifications

High school diploma or equivalent

1 year of experience in the health insurance industry or claims processing

Proficiency in Microsoft Office applications

Basic math skills and knowledge of medical terminology preferred

Experience with Medicaid or Medicare claims is preferred

serp_jobs.job_alerts.create_a_job

Claim • Sioux Falls, South Dakota, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Claims Specialist

Claims Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist to resolve complex claims and advocate for members navigating their healthcare benefits. Key Responsibilities Resolve complex claims issues by investig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Payment Integrity Analyst

Payment Integrity Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Payment Integrity Analyst, Post Pay.Key Responsibilities Research customer-specific value opportunities and present findings to leadership Improve existing data models...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Epic PB Analyst

California Licensed Epic PB Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for an Epic PB Analyst (Community Connect Professional Billing) - Remote.Key Responsibilities Performs intermediate level design, build, and implementation assignments / projec...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Team Lead

Claims Team Lead

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Team Lead, Claims.Key Responsibilities Manage a team of 12-15 claims examiners and adjusters Ensure adherence to client guidelines and monitor staff productivity and a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Processing Supervisor

Claims Processing Supervisor

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Supervisor of Claims.Key Responsibilities Organize and supervise the Claims Processing Department and mail room Set and maintain operational standards for the departme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Principal Claims Policy Expert

Principal Claims Policy Expert

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Principal Claims & Payments Expert to serve as a lead authority on claims-related policy matters. Key Responsibilities Interface directly with providers on claims polici...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Pharmacy Revenue Cycle Analyst

Pharmacy Revenue Cycle Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Analyst - Pharmacy Revenue Cycle.Key Responsibilities Research and resolve rejected or underpaid pharmacy claims, ensuring accuracy in coding and billing Monito...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Healthcare Claims Operations Supervisor

Healthcare Claims Operations Supervisor

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Service Operations Supervisor in the Healthcare Claims Department.Key Responsibilities Oversee daily tasks and workflow of a team of associates, ensuring quality manage...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Healthcare Claims Analyst

Healthcare Claims Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Analyst (Healthcare) to support their team in a remote capacity.Key Responsibilities Research, resolve, and follow up on rejected or unpaid pharmacy claims for a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Managed Repair Analyst

Managed Repair Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Managed Repair Analyst II.Key Responsibilities Manage the reconstruction portion of claims, ensuring efficient communication and active claims management Evaluate reco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Escalation Specialist

Claims Escalation Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Escalation Specialist responsible for reviewing and processing healthcare claims and escalations. Key Responsibilities Review and analyze healthcare claims to ens...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Supervisor

Claims Supervisor

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Supervisor to lead a team of Claims Processors and ensure accurate claims processing for employer-sponsored health plans. Key Responsibilities Oversee claims proc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Director

Claims Director

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Director to oversee claims administration policies and procedures.Key Responsibilities Oversee claims administration policies and ensure appropriate payments Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Indemnity Claims Specialist

Indemnity Claims Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for an Indemnity Claims Specialist (remote).Key Responsibilities Receives claims, confirms policy coverage, and acknowledges the claim Determines validity and compensability...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Loss Prevention Analyst

Loss Prevention Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Loss Prevention Analyst to monitor and administer identification reviews on dealer and individual account levels. Key Responsibilities Document and review phone verifica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Contracts Analyst

Contracts Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Deal Desk & Contracts Analyst.Key Responsibilities Draft order documents and review customer-facing documents for accuracy Facilitate the deal process by coordinating ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medicaid Eligibility Analyst

Medicaid Eligibility Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Benefits Analyst.Key Responsibilities Analyze and enhance the Mercy Receivables system while managing databases and reporting Support Medicaid screening and ap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Workers Compensation Analyst

Senior Workers Compensation Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Analyst.Key Responsibilities Evaluate claimant eligibility and communicate with physicians, employers, and injured workers Manage hi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours